| NPI | 1891178604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HAMILTON Therapist / Owner 239-495-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 4973) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 13294) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH13028) | |
| 106H00000X Marriage & Family Therapist (Licence: FL MT 1928) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |